An analysis of the "goal" in aphasia rehabilitation

Hersh, Deborah, Sherratt, Sue, Howe, Tami, Worrall, Linda, Davidson, Bronwyn and Ferguson, Alison (2012) An analysis of the "goal" in aphasia rehabilitation. Aphasiology, 26 8: 971-984. doi:10.1080/02687038.2012.684339

Author Hersh, Deborah
Sherratt, Sue
Howe, Tami
Worrall, Linda
Davidson, Bronwyn
Ferguson, Alison
Title An analysis of the "goal" in aphasia rehabilitation
Journal name Aphasiology   Check publisher's open access policy
ISSN 0268-7038
Publication date 2012-01-01
Year available 2012
Sub-type Article (original research)
DOI 10.1080/02687038.2012.684339
Open Access Status Not yet assessed
Volume 26
Issue 8
Start page 971
End page 984
Total pages 14
Place of publication Abingdon, Oxon, United Kingdom
Publisher Routledge
Language eng
Subject 3204 Developmental and Educational Psychology
3310 Linguistics and Language
1203 Design Practice and Management
2733 Otorhinolaryngology
2912 LPN and LVN
2808 Neurology
2728 Clinical Neurology
Abstract Background: Despite the central importance of goal setting in aphasia rehabilitation, the notion of the goal itself has not been fully explored.Aims: This paper considers how speech pathologists conceptualise the nature of the "goal" in aphasia rehabilitation.Methods & Procedures: The researchers conducted a qualitative study involving 34 speech pathologists (32 female and 2 male; mean age 41 years, range 24-60 years) from Adelaide, Brisbane and Newcastle, Australia, who worked across acute and rehabilitation inpatient, outpatient, community, and domiciliary services. The speech pathologists participated in semi-structured in-depth interviews about their experiences of providing therapy to people with aphasia post stroke and their family members. Transcriptions of the recorded interviews were subjected to an interpretive thematic analysis involving careful reading and re-reading for recurring themes around notions of goals.Outcomes & Results: The analysis of the transcripts revealed six main categories of goal concepts: goals as desires; SMART goals; impairment and functional goals; goals as steps; goals as contracts; and implicit goals. The first two of these conceptual categories competed with each other reflecting broader tensions within speech pathology practice, and the relative prominence of these goal categories differed according to the rehabilitation context.Conclusions: The findings suggest that the notion of the goal is multifaceted, dynamic, context dependent, and involves inherent tension. A more detailed understanding of the different facets of a goal might assist speech pathologists in their efforts towards collaborative goal setting. A conceptual shift to include the goal as a vehicle of empowerment may be helpful as a precursor to effective, collaborative, and person-centred goal setting with people with aphasia.
Keyword Aphasia
In depth interviewing
Qualitative research
Rehabilitation goal
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID 401532
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
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